A Study to Evaluate the Safety and Pharmacology of DNIB0600A in Participants With Platinum-Sensitive Ovarian Cancer or Non-Squamous Non-small Cell Lung Cancer
Non-Squamous Non-Small Cell Lung Cancer

About this trial
This is an interventional treatment trial for Non-Squamous Non-Small Cell Lung Cancer
Eligibility Criteria
Inclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) status of 0 or 1.
- Histologically documented epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer that is platinum sensitive.
- PSOC (i.e., epithelial ovarian cancer, primary peritoneal cancer, or fallopian tube cancer) with documented radiographic progression or relapse within 6 to 18 months of most recent platinum-based chemotherapy.
- Female participants of childbearing potential must use effective contraception as defined by study protocol and cannot be pregnant or breastfeeding.
NSCLC-specific Inclusion Criteria:
- Histological documentation of incurable, locally advanced, or metastatic non-squamous
- NSCLC that has progressed on prior treatment
- Not more than 2 prior regimens in the metastatic setting, including one prior cytotoxic regimen and one prior non-cytotoxic regimen (prior treatment with adjuvant therapy within 6 months of recurrence is considered a treatment regimen in the metastatic setting).
- For participants with a documented epidermal growth factor receptor (EGFR) mutation or anaplastic lymphoma kinase (ALK) rearrangement, one additional line of non-cytotoxic prior treatment will be permitted provided the therapy is a targeted agent against the EGFR mutation or ALK rearrangement.
- For participants with lung cancer, centrally confirmed high expression of a sodium-dependent phosphate transporter (NaPi2b) by immunohistochemistry (IHC) is required (i.e., IHC 2+ or 3+).
Exclusion Criteria:
- Anti-tumor therapy of any kind or major surgery within 4 weeks prior to Day 1.
- For ovarian cancer participants only, platinum-based chemotherapy within 6 months prior to Day 1.
- For ovarian cancer participants only, platinum treatment with more than two platinum-based chemotherapy regiments or more than four anti-cancer regimens, overall, for the treatment of ovarian cancer.
- Palliative radiation within 2 weeks prior to Day 1.
- Toxicity (except alopecia and anorexia) from prior therapy or neuropathy of grades > 1.
- Evidence of any significant disease or condition that could affect compliance with the protocol or interpretation of results.
- Known active infection (except fungal nail infections).
- History of liver disease or human immunodeficiency virus (HIV).
- Other malignancy within the last 5 years, except for adequately treated or controlled carcinoma in situ of the cervix or skin cancer or primary endometrial cancer of stage </= 1B.
- Untreated or active central nervous system (CNS) metastases.
- Prior treatment with NaPi2b- targeted therapy.
Bevacizumab-Specific Exclusion Criteria (for Participants in Second Ovarian
Expansion Cohort Only):
- Inadequately controlled hypertension or history of hypertensive crisis or encephalopathy.
- History of heart problems or thrombosis within 6 months prior to study start.
- History of stroke within 6 months prior to study enrollment.
- History of significant vascular disease.
- History of expectoration of blood within 1 month prior to study start or blood clotting problems.
- Core biopsy or other minor surgical procedure within 7 days prior to study start
- Serious and non-healing wound, active ulcer, or untreated bone fracture.
Sites / Locations
- Massachusetts General Hospital.
- Dana Farber Cancer Inst.
- The University of Oklahoma
- The Sarah Cannon Research Inst
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Dose Escalation Cohort: DNIB0600A+Carboplatin
NSCLC Dose Expansion Cohort: DNIB0600A+Carboplatin
PSOC Dose Expansion Cohort: DNIB0600A+Carboplatin
PSOC Dose Expansion Cohort: DNIB0600A+Carboplatin+Bevacizumab
DNIB0600A at an initial dose of 1.2 milligrams per kilogram (mg/kg) will be administered via intravenous (IV) infusion further following a dose-escalation until DLT under consultation of the investigator in combination with Carboplatin fixed dose of area under the curve (AUC)=6 mg/milliliter(mL)*minute (min) administered by IV infusion on Day 1 of a 21-day cycle.
Recommended phase 2 dose (RP2D) of DNIB0600A administered via IV infusion in combination with Carboplatin, AUC=6 mg/mL*min administered via IV infusion on Day 1 of each 21-day cycle in participants with NSCLC until disease progression or death, whichever occurs first.
RP2D of DNIB0600A administered via IV infusion in combination with AUC=6 mg/mL*min administered via IV infusion on Day 1 of each 21-day cycle in participants with PSOC until disease progression or death, whichever occurs first.
RP2D of DNIB0600A administered via IV infusion in combination with Carboplatin, AUC=6 mg/mL*min and Bevacizumab 15 milligrams per kilogram (mg/kg) administered via IV infusion on Day 1 of each 21-day cycle in participants with PSOC until disease progression or death, whichever occurs first.